Lydia M Badra, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

870157 Issued in DC

Practice address

15245 Shady Grove Rd
Suite C-100, North Lobby
Rockville, MD 20850-3222

Phone

(301) 417-2652

Fax

(301) 417-2653

NPI assigned

May 1, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rachel E. Miller, IncGroup PAC ID 1951308501, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rachel E. Miller, Inc

  • Physical Therapy Clinic/Center
  • Kensington, MD
  • NPI 1093735995

  DC

  Medicare reassignment Care Compare group NPD
• Bethesda Chevy Chase Orthopaedic Associates, LLC

  • Orthopaedic Surgery Physician
  • Bethesda, MD
  • NPI 1477583599
  NPD (past)
• Montgomery Therapy & Wellness LLC

  • Physical Therapy Clinic/Center
  • Pikesville, MD
  • NPI 1700257862
  NPD (past)
• Sports Therapy and Rehabilitation LLC

  • Physical Therapist
  • Washington, DC
  • NPI 1942955729
  NPD (past)
• Sports Therapy and Rehabilitation,Inc

  • Physical Therapist
  • Washington, DC
  • NPI 1780611046
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376870400000",
    "number": "1316905490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15245 SHADY GROVE RD",
            "address_2": "SUITE C-100, NORTH LOBBY",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503222",
            "telephone_number": "301-417-2652",
            "fax_number": "301-417-2653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15245 SHADY GROVE RD",
            "address_2": "SUITE C-100, NORTH LOBBY",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503222",
            "telephone_number": "301-417-2652",
            "fax_number": "301-417-2653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADRA",
        "first_name": "LYDIA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-01",
        "last_updated": "2013-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DC",
            "license": "870157",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "19658",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abeba Tadesse Bade
• Aminta Jooke Badiane
• Allison Badillo
• Jason Badillo, P.A.
• Gabriella Badji
• Madison Badra
• Ladan Badrghassemi, D.M.D.
• Betty Bae, LCSWC
• Caitlyn Baehr
• Bethany Marie Baer, M.D.

• Physical Therapist in Rockville, MD
• Providers in Rockville, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.